Wackerle, Kelly Ryan

Wackerle, Kelly Ryan is an sole proprietor health care provider with primary practice located at 2801 Randolph Rd Ste 100 , Charlotte NC 28211-1051. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Neurological Surgery is her primary health care specialty. Wackerle, Kelly Ryan can be contacted via phone (704) 367-4800.

Contact Information

Primary practice address
2801 Randolph Rd Ste 100 Charlotte NC 28211-1051
Phone: (704) 367-4800
Fax: (704) 316-3025
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 2024-02000 North Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1336671700
LBN Legal business name Wackerle, Kelly Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2017
Last updated Oct 16th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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